10.17 Neurogenic Bowel

Question 1

Why is nutrition so important for a neurogenic bowel?

Answer 1

Need enough form that it will stay in the rectum even without sphincter tone

Question 2

What is used for bowel clearance?

Answer 2

• digital stimulation

- dil stick

Question 3

What does digital stimulation do?

Answer 3

• triggers reflex arc

- ensures that you get everything out of the colon

Question 4

PPT

Answer 4

preferred pooping time

Question 5

establishing a pooping rhythm

Answer 5

• start with PPT

- person will have to find a new rhythm as time goes on

Question 6

GCR =

Answer 6

gastric colonic reflex

Question 7

Where is the GCR usually seen?

Answer 7

baby eats, baby poops, boom

Question 8

GCR and adults

Answer 8

• some adults still have this

- may have a trigger such as COFFEE

Question 9

What is transit time?

Answer 9

time from mouth to anus

Question 10

How is transit time affected with SCI pts?

Answer 10

normal time doubles due to gastric motility changes

Question 11

How could you test transit time?

Answer 11

corn test

Question 12

What is transit time affected by?

Answer 12

• how much they’re moving
• how much time spent upright
• how much they strain
• diet

Question 13

dietary factors to consider with transit time

Answer 13

• fiber

- water

Question 14

Things to think about with SCI and water intake

Answer 14

• drinking more water = more ICs

- they don’t like to drink a lot of water

Question 15

Decreased water intake can lead to

Answer 15

impacted stool

Question 16

Which pts commonly poop in the shower and why?

Answer 16

• high level quads

- fewer txfs

Question 17

SCI pts and travel

Answer 17

• equipment is expensive but necessary

traveling is very difficult